Tuina for peripherally-induced neuropathic pain: A review of analgesic mechanism

Liu, Zhongfan; Wang, Hou-Rong; Yu, Tianyuan; Zhang, Yingqi; Yi, Jae-Seon; Wang, Xiyou

doi:10.3389/fnins.2022.1096734

Cited by 11 publications

(10 citation statements)

References 59 publications

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“…Studies have shown that the pathological characteristics of lower back pain in patients with postpartum DRA are mainly caused by abdominal muscle spasm and myofascial incarceration[ 16 ]. Tuina can promote analgesic effects by stimulating different levels of targets[ 17 ]. Smith et al [ 18 ] reported that manual massage can alleviate the pain of childbirth.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic effect of manual massage on early postpartum rectus abdominis separation and postpartum depression

Chen,

Sun,

Qian

et al. 2024

World J Psychiatry

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BACKGROUND Rectus abdominis separation (DRA) affects pelvic stability and body image. No studies have explored the effects of manual massage on early postpartum DRA and postpartum depression. AIM To analyze the curative effect of massage on early postpartum DRA and its impact on postpartum depression and thus its ability promote the overall psychosomatic rehabilitation of postpartum women. METHODS Data were retrospectively collected on 70 primiparous women with postpartum DRA who underwent rehabilitation at the Postpartum Rehabilitation Center of Huzhou Maternal and Child Health Hospital from October 2022 to September 2023. The patients were divided into the Group S (35 cases, biomimetic electrical stimulation treatment) and Group L (35 cases, biomimetic electrical stimulation combined with manual massage treatment). Baseline data, the edinburgh postpartum depression scale (EPDS) score, and the visual analog scale (VAS) scores for rectus abdominis distance, waist circumference, and lower back pain before and after treatment were compared. RESULTS No significant differences were found in the baseline data, rectus abdominis distance, waist circumference, and VAS and EPDS scores between the two groups before treatment (P > 0.05). After treatment, the distance between rectus abdominis and waist circumference in Group L were significantly smaller than those in Group S (P < 0.05). Furthermore, lower back pain (VAS score) and the EPDS score in Group L were significantly lower than those in Group S (P < 0.05). CONCLUSION Manual massage can significantly reduce early postpartum DRA, waist circumference, and back pain and improve the patient’s mental state and postpartum depression.

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Section: Discussionmentioning

confidence: 99%

Therapeutic effect of manual massage on early postpartum rectus abdominis separation and postpartum depression

Chen,

Sun,

Qian

et al. 2024

World J Psychiatry

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“…Acupressure stimulates the same acupoints as acupuncture with the use of fingers, hands, or elbows, based on traditional Chinese medicine (TCM) meridian theory. The analgesic mechanism of acupressure may primarily involve the suppression of peripheral inflammation through the regulation of inflammatory signal transduction and pain signal transduction pathway modulation of ion channels and inhibition of glial cell activation . Recently, clinical trials have attempted to examine the feasibility and effectiveness of SAA for the treatment of knee OA in postmenopausal women and older patients .…”

Section: Introductionmentioning

confidence: 99%

“…The analgesic mechanism of acupressure may primarily involve the suppression of peripheral inflammation through the regulation of inflammatory signal transduction 12 and pain signal transduction pathway 13 modulation of ion channels and inhibition of glial cell activation. 14 , 15 Recently, clinical trials have attempted to examine the feasibility and effectiveness of SAA for the treatment of knee OA in postmenopausal women 16 and older patients. 17 , 18 , 19 These studies were limited by a nonrandomized design, 19 no fidelity assessment, 16 and high attrition rate.…”

Section: Introductionmentioning

confidence: 99%

Self-Administered Acupressure for Probable Knee Osteoarthritis in Middle-Aged and Older Adults

Yeung,

Chen,

Cheung

et al. 2024

JAMA Netw Open

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ImportanceThe effects of self-administered acupressure (SAA) on knee osteoarthritis (OA) pain remain unclear.ObjectiveTo evaluate the effectiveness of SAA taught via a short training course on reducing knee OA pain in middle-aged and older adults.Design, Setting, and ParticipantsThis randomized clinical trial was conducted among community-dwelling individuals in Hong Kong who were aged 50 years or older with probable knee OA from September 2019 to May 2022.InterventionsThe intervention included 2 training sessions for SAA with a brief knee health education (KHE) session, in which participants practiced acupressure twice daily for 12 weeks. The control group (KHE only) received only education about maintaining knee health on the same schedule and duration.Main Outcomes and MeasuresThe primary outcome was the numerical rating scale (NRS) pain score at 12 weeks. Other outcomes included Western Ontario and McMaster University Osteoarthritis Index, Short Form 6 Dimensions (SF-6D), Timed Up and Go, and Fast Gait Speed tests.ResultsA total of 314 participants (mean [SD] age, 62.7 [4.5] years; 246 [78.3%] female; mean [SD] knee pain duration, 7.3 [7.6] years) were randomized into intervention and KHE-only groups (each 157). At week 12, compared with the KHE-only group, the intervention group had a significantly greater reduction in NRS pain score (mean difference [MD], −0.54 points; 95% CI, −0.97 to −0.10 points; P = .02) and higher enhancement in SF-6D utility score (MD, 0.03 points; 95% CI, 0.003 to 0.01 points; P = .03) but did not have significant differences in other outcome measures. The cost-effectiveness acceptability curve demonstrated a greater than 90% probability that the intervention is cost-effective at a willingness to pay threshold of 1 GDP per capita.Conclusions and RelevanceIn this randomized clinical trial, SAA with a brief KHE program was efficacious and cost-effective in relieving knee pain and improving mobility in middle-aged and older adults with probable knee OA.Trial RegistrationClinicalTrials.gov Identifier: NCT04191837

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“…CAT is a method of treating illness that includes modalities such as herbal medicine, electroacupuncture (EA), acupuncture, cupping, yoga and meditation as a complementary or alternative to mainstream medicine. [ 10 ] CAT has been employed extensively recently to treat NP-related illnesses, including PHN, [ 11 ] fibromyalgia, [ 12 ] lumbar disc herniation, [ 13 ] peripherally induced NP, [ 14 ] etc. At the same time, although the number of studies is climbing year by year, there is a lack of quantitative analyses of research patterns, trends, and research hotspots regarding CAT for the treatment of NP.…”

Section: Introductionmentioning

confidence: 99%

Research hotspots and trends of complementary and alternative therapy for neuropathic pain: A bibliometric analysis

Wang,

Sun,

Zhao

et al. 2024

Medicine

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Background: Neuropathic pain (NP) is a common type of pain in clinic. Due to the limited effect of drug treatment, many patients with NP are still troubled by this disease. In recent years, complementary and alternative therapy (CAT) has shown good efficacy in the treatment of NP. As the interest in CAT for NP continues to grow, we conducted a bibliometric study of publications on CAT treatment for NP. The aim of this study is to analyze the development overview, research hotspots and future trends in the field of CAT and NP through bibliometric methodology, so as to provide a reference for subsequent researchers. Methods: Publications on CAT in the treatment of NP from 2002 to 2022 were retrieved from the Web of Science Core Collection. Relevant countries, institutions, authors, journals, keywords, and references were analyzed bibliometrically using Microsoft Excel 2021, bibliometric platform, VOSviewer, and CiteSpace. Results: A total of 898 articles from 46 countries were published in 324 journals, and they were contributed by 4455 authors from 1102 institutions. The most influential country and institution are China (n = 445) and Kyung Hee University (n = 63), respectively. Fang JQ (n = 27) and Evidence-Based Complementary and Alternative Medicine (n = 63) are the author and journal with the most publications in this field. The clinical efficacy, molecular biological mechanisms and safety of CAT for NP are currently hot directions. Low back pain, postherpetic neuralgia, acupuncture, and herbal are the hot topics in CAT and NP in recent years. Conclusion: This study reveals the current status and hotspots of CAT for NP. The study also indicates that the effectiveness and effect mechanism of acupuncture or herbs for treating emotional problems caused by low back pain or postherpetic neuralgia may be a trend for future research.

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Tuina for peripherally-induced neuropathic pain: A review of analgesic mechanism

Cited by 11 publications

References 59 publications

Therapeutic effect of manual massage on early postpartum rectus abdominis separation and postpartum depression

Therapeutic effect of manual massage on early postpartum rectus abdominis separation and postpartum depression

Self-Administered Acupressure for Probable Knee Osteoarthritis in Middle-Aged and Older Adults

Research hotspots and trends of complementary and alternative therapy for neuropathic pain: A bibliometric analysis

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